PATERSON DIVISION OF HEALTH NPI 1306808373

NPI Information

NPI: 1306808373
Provider Name: PATERSON DIVISION OF HEALTH
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
176 BROADWAY
PATERSON, NJ
ZIP 07505
Phone: (973) 321-1277
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PATERSON DIVISION OF HEALTH is a public health and state or local clinic center in Paterson, NJ. PATERSON DIVISION OF HEALTH NPI is 1306808373. The provider is registered as an organization entity type.

The provider's business location address is:

176 BROADWAY
PATERSON, NJ
ZIP 07505-115
Phone: (973) 321-1277
Fax: (973) 321-1246

The provider's authorized official is Joseph Surowiec .
The authorized official title is Health Officer and has the following contact phone number (973) 321-1277.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 3/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local	TAX EXEMPT	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0056707	MEDICAID	NEW JERSEY
2	762780	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	FLU AND PNEUMONIA CLINIC
3	984.9	MEDICAID	NEW JERSEY
4	520395	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	PODIATRY CLINIC
5	3467210	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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